Tx Planning Flashcards
anterior restorations for primary teeth
- intracoronal restorations (fillings)
- extracoronal or full-coverage restorations (crowns)
- ext
indications for “scoop and fill”
when traditional prep and restoration not feasible…
- very young
- uncooperative
- caries control
- erupting molars with isolation challenge
what material should be used for “scoop and fill”?
RMGI
indications for full-coverage restorations
- multi-surface lesions
- incisal edge involved
- cervical decalcification
- pulp therapy indicated
- caries minor but hygiene poor
- behavior affects moisture control
easy strip crowns
- space b/w teeth
- overjet
- fractured teeth
- no pulp involvement
- cooperative pt
hard strip crowns
- closed contacts
- crowding
- no overjet/anterior X-bite
- no tooth structure left
- pulpally involved
- uncooperative pt
posterior restorations for primary teeth
- intracoronal restoration (Class I & II)
- extracoronal or full-coverage restorations (SSCs)
- extraction
what material should be used to restore class I?
composite or RMGI
what should be done after restoring class I lesion?
seal over restoration and unprepared grooves
what material should be used to restore class II?
composite or RMGI
preparation for class II lesion
“box-only”
indications for restoring class II lesion
- small interproximal lesions
- 2-surface only (No MODs)
- ability to maintain ideal prep
contraindications for restoring class II lesion
- can’t maintain ideal class II (do SSC instead)
- tooth won’t exfoliate for >2-3 years (do SSC instead)
- mesial lesion on primary 1st molars
indications for SSC
- large carious lesions
- pulpotomy or pulpectomy required
- multiple interproximal lesions
- cusp/marginal ridge involvement
- developmental defects
- single-surface interproximals on young children and/or at high risk
pulpotomy
remove coronal portion of pulp only